NPI | 1801424155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 64528) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-08-12 |